Delaware Administrative Code
Title 14 - Education
800 - Health and Safety
811 - School Health Recordkeeping Requirements
Section 811-5.0 - Other Required Documentation

5.1 The school nurse shall document in the state, district, or charter electronic health record system for individual student health data any nursing care provided including the school name, a three point date, the person's (student, staff or visitor) first and last name, the time of arrival and departure, the presenting complaint, the nurse's assessment intervention and the outcome, including the disposition of the situation, the parent or other contact, if appropriate, and the nurse's complete signature or initials.

5.2 The school nurse shall document the care given at the time of a school-based accident by completing the Student Accident Report Form if the student missed more than one-half day because of the accident or if the school nurse referred the student for a medical evaluation regardless of whether the parent, guardian or Relative Caregiver or student if 18 years or older, or an unaccompanied homeless youth (as defined by 42 U.S.C. 11434(a)) followed through on that request.